Mississippi Medicaid Mississippi Division of MEDICAID Roads to Mississippi Division of Good Health MEDICAID Guide Book Call for Information You are encouraged to get a 1-800-421-2408 (601-359-6050 in Jackson) yearly health screening from your doctor or clinic. This physical examination will not be used to deter- mine your eligibility for the Medicaid program. Office of the Governor Division of Medicaid Robert E. Lee Building Suite 801 You are encour- aged to get a yearly 239 North Lamar Street health screening Jackson, MS 39201-1399 from your doctor or clinic. Phone: 601-359-6050 1-800-421-2408 This physical examination will not be used to determine your Web: http://www.dom.state.ms.us eligibility for the Medicaid program. (Revised 09.29.2010) Eat Right ! Exercise! Be Tobacco Free! Page 2 How to Prepare for a Storm Page 39 Notes: Also include when you take a medication, the condition for Dear Friends: which you take a medication, the name of the doctor who pre- scribed it, and the doctor's phone number. It is best if you are I encourage you to browse through the following pages of able to maintain at least a 7-to-14 day supply of essential Mississippi Medicaid’s Roads to Good Health Guide Book, which medications (heart, blood pressure, birth control, diabetic, psy- offers important tips and information on keeping yourself and chiatric, etc.) and keep this supply with you at all times. your family healthy. As part of my Healthy Mississippi initiative, If this is not possible, even maintaining a 3-day supply this publication is one of the many steps we are taking to pro- would be extremely helpful. mote wellness among the citizens of our great state. It would be a very good idea to talk with your doctor or phar- Mississippians have long understood the importance of commu- macist about what you should do if you do not have enough nities. The health of individuals and the overall health of com- medicine after a disaster and cannot immediately get what you munities depend on how well we take care of ourselves and our need. Be sure you ask about the shelf life of your medications families. Health depends on how well we prevent heart disease, and the temperatures at which they should be stored. cancer, stroke, and injury. It also depends on how well we care If appropriate, add something like the following: for our neighbors when they are ill or injured. Healthy commu- A list of conditions a rescuer might need to know about (if you nities improve our educational system, our productivity at work, are not sure, list it): diabetes, epilepsy, heart condition, high the spiritual strength of neighborhoods, and the economic blood pressure, respiratory condition, HIV positive. "My dis- health of Mississippi. Healthy communities also offer the best ability, which is due to a head injury, sometimes makes me ap- possible future for Mississippi’s children. pear drunk. I'm not;" "I have a psychiatric disability; in an emer- gency I may become confused. Help me find a quiet corner and That’s why I am delighted to share Roads to Good Health Guide I should be fine in about 10 minutes; if not give me one pill, Book with you, an informative guide in helping you make better (name and color of medication) located in my (purse, wallet, decisions that lead to a healthier, more productive lifestyle. In pocket, etc.);" "I take Lithium and my blood level needs to be the following pages, you will read about good nutrition, the im- checked every _______________;" "My primary language is ASL portance of physical activity, the effects of alcohol and tobacco (American Sign Language). I am deaf and not fluent in English; usage, as well as important Mississippi Medicaid information. I will need an ASL interpreter. I read only very simple English." The publication also offers information about your free (or very Make copies of these cards or sheets and place them in clear low cost) yearly medical screening, and I strongly encourage plastic bags to protect them from the elements. all Medicaid recipients to take advantage of this opportunity on The elderly and disabled are especially vulnerable during a an annual basis. storm emergency. Families and support-givers of the elderly and disabled should have a plan in place prior to a storm or Again, I hope that you will take the time to read through this emergency to ensure survival of this fragile population. This health guide. We are working hard to reduce major health risks plan should be well-rehearsed and ready to implement in the like diabetes, obesity, poor diet and oral health, and physical event of an emergency. inactivity in our communities through the Healthy Mississippi initiative, and I am optimistic about our success. By working The Mississippi Division of Medicaid reminds all Medicaid together, I know we can shape a healthier future for ourselves, beneficiaries to follow these and other survival safety tips our children, and our Mississippi. to “Stay Alert and Stay Alive.” Governor Haley Barbour Page 38 How to Prepare for a Storm Information Page 3 You Can Use! The following information is provided for informational purposes only and is not intended to provide the reader with medical ad- The Road to vice. If the reader has any questions regarding his or her medical Good Nutrition for Everyone 4 condition, he or she should seek the advice of a physician or other appropriate health-care professional. Physical Activity 16 Ending Tobacco Use 17 Medicaid Urges Storm Season Sense “Stay Alert, Stay Alive” Safety Tips for Beneficiaries My Medicaid 20 Medicaid Regional Offices 21 The Division of Medicaid is ad- vising all beneficiaries and Things You Need to Know 22 beneficiary support-givers to be Medicaid Programs 24 ready for this year’s storm sea- son by taking the following pre- Medicaid Services 25 cautions now: Understanding Copayments 28 Create an emergency health in- Reporting Medicaid Fraud 28 formation card or sheet that com- Miss. Medicaid Medical Home 29 municates to rescuers what they need to know about you if they Your Health - Care Team 30 find you unconscious or incoher- Your Medication Question Guide 33 ent, or if they need to quickly help evacuate you. Make multi- Your Health - Care Notes 35 ple copies to keep in your emer- Important Telephone Numbers 37 gency supply kits, car, work, wallet, wheelchair pack, etc. How To Prepare for a Storm 38 List the following information: This booklet doesn’t have everything you need to know Your name; street address; city, state, zip; phone numbers about better health, but it does offer you a lot to get (home, work, cell); your birth date; blood type; Social Security you started on your road to a healthier personal life- Number; your health insurance carrier and Individual and style. Group Number (include Medicaid and Medicare numbers); im- portant numbers and any other insurance numbers; physicians’ Please read it and keep it handy. It can be a helpful and pharmacies’ names and telephone numbers; the nearest guide to resources available to you in Mississippi. hospital and clinic telephone number and address; your emer- gency contacts; conditions or any disability; a list of any adap- NOTE: Before beginning your new diet or exercise tive equipment you use; your allergies and sensitivities; com- program, it is important to check with your health- munication or cognitive difficulties you may have; and the names of medications you take and their dosages. care provider to see what is right for you! Page 4 The Road to Good Nutrition Page 37 NOTES: for Everyone What Is a “Healthy Diet”? Date of Visit Notes Fruits and vegetables are an important part of a healthy diet. The health benefits of fruits and vegetables are well known. Department of Health (Mississippi) A diet full of fruits and vegetables helps prevent heart dis- 1-800-489-7670 outside Jackson ease and cancer. (601) 576-7400 inside Jackson Web: http://www.msdh.state.ms.us The Food Pyramid can help you understand which foods (and in what amount) ARE IMPORTANT IN A HEALTHY DIET. Department of Human Services The stairs on the side of the pyramid emphasize that exercise is an important part of a healthy lifestyle. 1-800-345-6347 outside Jackson (601) 359-4500 inside Jackson For more information on the Food Pyramid and to find out Web: http://www.mdhs.state.ms.us how much you should eat from each food group based on your age, activity level, and gender, visit Division of Medicaid www.MyPyramid.gov. 1-800-421-2408 outside Jackson (601) 359-6050 inside Jackson Web: http://www.dom.state.ms.us Department of Mental Health Grains 1-877-210-8513 Statewide Help Line Half of servings should come from the whole grain group (601) 359-1288 inside Jackson (try brown rice or whole wheat pasta) (601) 359-6230 TDD Eat at least 3 oz. of whole grain bread, cereal, crackers, Web: http://www.dmh.state.ms.us rice, or pasta each day Look for the word “whole” before the grain name on the Department of Rehabilitation Services ingredients list (example: “whole wheat flour”) 1-800-443-1000 outside Jackson (601) 853-5100 inside Jackson Web: http://www.mdrs.state.ms.us Page 36 NOTES: Information Page 5 You Can Use! Date of Visit Notes Vegetables Eat more dark green vegetables* (examples: spinach, green bell peppers) Eat more orange vegetables (examples: squash, carrots) Eat more dried beans and peas (examples: pinto beans, kidney beans, split peas) Fruits Eat a variety of fruits Choose fresh, frozen, canned, or dried (no heavy syrup) Eat whole fruit more often than juice (go easy on fruit juices) Oils Know your fats Get most of your daily fat from fish, nuts, and vegetable oil (examples: olive, peanut, and canola oil) Limit solid fats like butter, stick margarine, shortening, and lard * Check with your doctor or health-care provider to learn if this is right for you. Page 6 The Road to Good Nutrition Information Page 35 for Everyone You Can Use! Notes: Use this section to Milk record your health- Eat or drink fat-free or low-fat milk and other calcium-rich care provider visits, products (examples: skim milk, cheese, yogurt) your immunizations, If you do not or cannot drink milk products, choose lactose -free products or other calcium sources (examples: and your tests. soy milk, calcium enriched orange juice) Date of Visit Notes Meat & Beans Choose fish or low-fat or lean meat and poultry Bake, broil, or grill meat; avoid fried foods Vary choices with more fish, beans, peas, nuts, and seeds Physical Activity Engage in regular physical activity and reduce sedentary ac- tivities to promote health, psychological well-being, and a healthy body weight. Achieve physical fitness by including cardiovascular condi- tioning, stretching exercises for flexibility, and resistance ex- ercises or calisthenics for muscle strength and endurance.* Adults should be physically active for at least 30 minutes each day Children should be physically active for 60 minutes each day *Check with your doctor or health-care provider to learn if this is right for you. SOURCE: www.MyPyramid.gov www.health.gov/dietaryguidelines Page 34 Your Medication Question Guide (2) Information Page 7 You Can Use! Should I avoid any other medicines (prescription or over-the-counter), dietary supplements, drinks, foods, or activities while using this drug? Water & Liquids Water and liquids are needed every day. As you get older, you may have less sensitive sensations of thirst and may be more likely to become dehydrated. Vital organs like the kid- neys, brain, and heart can’t function without a certain mini- When should I notice a difference or improvement? When should I mum of water and salt.** report back? Drink eight, 8-ounce glasses of water or beverages such as fruit or vegetable juice, low-fat or non-fat milk, or re- duced sodium soup each day Alcoholic beverages should not count towards your water/liquid goal Will I need to have any testing to monitor this drug's effects? Vitamin D, Calcium, and Vitamin B-12 B- As an older adult, you need to make sure you are getting enough calcium, vitamin D, and vitamin B-12. You need higher levels of calcium and vitamin D to keep your bones Can this medicine be used safely with all my other medications and strong. therapies? Could there be interactions? Non-fat or low-fat milk is a good source of calcium and vitamin D Eat vitamin B-12 fortified foods such as breakfast cereals or supplements Exposure to direct sunlight for about 15 minutes each What are the possible side effects? What do I do if a side effect occurs? day will help your body produce the vitamin D you need Special Needs for Older Adults People in the United States enjoy a relatively long life span How and where do I store this medicine? compared to many other countries in the world. According to the Centers for Disease Control and Prevention, average life expectancy for an American child born in 2005 is around 77.2years.* Many people live healthy lives far beyond this. Where and how can I get written information about this medicine? What other sources of information can I use to learn about this medi- As we age, our nutritional and physical activity needs cine? change. It’s a good idea to talk to your doctor about specific needs that are appropriate for your age and lifestyle. SOURCE: U.S. Food and Drug Administration • Center for Drug Evaluation and Research Call 1-888-INFO-FDA or go to *www.cdc.gov www.fda.gov/cder/ **www.quickcare.org/gast/dehydrate.html Page 8 The Road to Good Nutrition Your Medication Page 33 for Everyone Question Guide Key Recommendations for Specific Population Groups Children and adolescents. Consume whole grain prod- Ask your health-care provider these questions about each new medicine ucts often; at least half the grains should be whole grains. which is recommended or prescribed. Write the answers in the spaces provided. Use a separate sheet for each medicine. Children 2 to 8 years should consume 2 cups per day of fat-free or low-fat milk or equivalent milk products. Chil- dren 9 years of age and older should consume 3 cups per day of fat-free or low-fat milk or equivalent milk Name of Medicine______________________________________ products. What are the brand and generic names of the medicine? Discussion Fruits, vegetables, whole grains, and milk products are all important to a healthy diet and can be good sources of re- Can I use a generic form? quired nutrients. When increasing intake of fruits, vegeta- bles, whole grains, and fat-free or low-fat milk and milk products, it is important to decrease one's intake of less- nutrient-dense foods to control calorie intake. The 2,000- calorie level used in the discussion is a reference level only; it is not a recommended calorie intake because many Ameri- What is the medicine for and what effect should I expect? cans should be consuming fewer calories to maintain a healthy weight. Meal portion control is very important. Read packaging and labels to see what the portion size is for that item. Remem- Does this drug replace any other medicine I have been using? ber, a serving size for meat is about the size of a deck of cards. “Super-sized” portions have multiple servings in them. Key Recommendations How and when will I use it, what amount will I use, and for how long? Choose fiber-rich fruits, vegetables, and whole grains often Choose and prepare foods and beverages with little added sugar or caloric sweetener, such as amount suggested by the USDA Food Guide What do I do if I miss a dose? Reduce the incidence of dental decay by practicing good oral hygiene and consuming fewer foods and beverages containing sugar and starch SOURCE: www.health.gov/dietaryguidelines (over) Page 32 Be an Active Member of Your Information Page 9 Health-Care Team! You Can Use! FOLLOW DIRECTIONS Foods that contain most of the added sugars in American diets are When you are ready to use the medicine, maximize the benefits and regular soft drinks Milk-based desserts and minimize the risks by following the instructions printed on the drug candy products, such as ice label: cream, sweetened yogurt, cakes and sweetened milk Read the label every time you fill your prescription--before you cookies leave the pharmacy. Be sure you have the right medicine and Grain products, such as pies understand how to use it sweet rolls and cinnamon fruit drinks toast Read the label every time you are about to use the medicine--to be sure it's the right medicine, for the right patient, in the right amount, in the right way, at the right time Go lean with protein — Start with a lean choice Take the recommended dose exactly as prescribed--no matter how tempted you are to use more to feel better faster The leanest beef cuts include round steaks and roasts (round eye, Finish all the medicine as directed--even if you start to feel better top round, bottom round, round tip), before all your medicine is completed top loin, top sirloin, and chuck shoul- der and arm roasts REPORT BACK TO THE TEAM The leanest pork choices include pork loin, tenderloin, center Pay attention to how you feel and notify your health-care team of any loin, and ham problems. Choose extra lean ground beef. The label should say at least If you have doubts that the medicine is working effectively, don't stop “90% lean.” You may be able to find ground beef that is 93% or 95% taking it without checking with the team. Some medications take longer lean to show a benefit, and some need to be withdrawn gradually to Buy skinless chicken parts, or take off the skin before cooking decrease undesirable effects. If you experience a side effect, let your health-care team know immediately. An adjustment in the dosage or a Boneless skinless chicken breasts and turkey cutlets are the change in medication may be needed. leanest poultry choices Choose lean turkey, roast beef, ham, or low-fat luncheon meats for sandwiches instead of luncheon meats with more fat, such as Question Guide regular bologna or salami Use this guide to gather the information you need to know from your health-care Keep it lean team. Trim away all of the visible fat from meats and poultry before cooking Broil, grill, roast, poach, or boil meat, poultry, or fish instead of frying Drain off any fat that appears during cooking Skip or limit the breading on meat, poultry, or fish. Breading adds fat and calories. It will also cause the food to soak up more fat during frying Prepare dry beans and peas without added fats. Choose and prepare foods without high fat sauces or gravies Page 10 The Road to Good Nutrition Your Mississippi Page 31 for Everyone Medicaid Medical Home Vary your protein choices Ask Questions! Choose fish more often for lunch or dinner. Look for fish rich Your health-care team members help you make the best-informed in omega-3 fatty acids, such as salmon, trout, and herring. choices, but you have to ask the right questions. When you meet Some ideas are with a team member, have your questions written down and take notes. Salmon steak or filet You may also want to bring along a friend or relative to help you understand and remember the answers. Salmon loaf Use the “Question Guide” at the end of this section to help you gather Grilled or baked trout the information you need from your health-care team. If you don't understand an answer, ask again. Choose dry beans or peas as a main dish or part of a meal often. Learn the Facts! Some choices are Before you purchase a prescription or over-the-counter medicine, Chili with kidney or pinto beans learn and understand as much about it as you can, including Stir-fried tofu generic and brand names Split pea, lentil, minestrone, or white bean soups active ingredients Baked beans proper uses--(indications/contraindications) Black bean enchiladas instructions Garbanzo or kidney beans on a chef’s salad warnings and precautions Rice and beans interactions--with food, dietary supplements, other medicines Veggie burgers or garden burgers side effects/adverse reactions Hummus (chickpeas) spread on pita bread expiration dates Drug information designed for the consumer is available from a variety Choose nuts as a snack, on salads, or of sources: your pharmacy, the manufacturer, the library, the in main dishes. Use nuts to replace bookstore, and the Internet. If there is something you don't understand, meat or poultry, not in addition to ask your health-care team. these items: Use pine nuts in pesto sauce for BALANCE THE BENEFITS AND RISKS: Make Your Decision! pasta After you have exchanged all the information, Add slivered almonds to steamed weigh all your options. At this point you must vegetables decide if the benefits you hope to achieve Add toasted peanuts or cashews to a vegetable stir fry from the medicine outweigh its known risks. instead of meat The final choice is yours. Sprinkle a few nuts on top of low-fat ice cream or frozen yogurt Add walnuts or pecans to a green salad instead of cheese or meat Page 30 Be an Active Member of Your Information Page 11 Health-Care Team! You Can Use! Disease Management Programs What to look for on the food label Disease Management Programs provide support to people with Check the nutrition facts label for the saturated fat, trans fat, diseases like diabetes, high blood pressure, asthma, and other cholesterol, and sodium content of packaged foods medical problems that do not go away. Nurses teach you ways Processed meats such as hams, sausages, frankfurters, and to take care of yourself, like eating special diets, taking luncheon or deli meats have added sodium. Check the ingredients medicines the right way, and seeing your doctor before little and nutrition facts label to help limit sodium intake problems get bigger. They can help you find a Medical Home and work with your doctor so you do not have to make trips to Fresh chicken, turkey, and pork that have been enhanced with a salt-containing solution also have added sodium. Check the prod- the emergency room or go in the hospital as often. uct label for statements such as “self-basting” or “contains up to __% of __” Be an Active Member of Your Health-Care Team Lower fat versions of many processed meats are available. When it comes to using medicine, there is no such thing as Look on the nutrition facts label to choose products with less fat and completely safe. All medicines have risks. The U.S. Food and saturated fat Drug Administration (FDA) approval of a drug means that the benefits outweigh the known risks that are outlined on the Keep it safe to eat drug's label. Separate raw, cooked, and ready-to-eat foods Physicians, physician’s assistants, nurses, pharmacists, and Do not wash or rinse meat or poultry YOU make up your health-care team. To reduce the risks Wash cutting boards, knives, utensils, and counter tops in hot related to using medicines and to get the maximum benefit, you soapy water after preparing each food item and before going on to need to play an active role on the team. the next one Speak Up! Store raw meat, poultry, and seafood on the bottom shelf of the refrigerator so juices don’t drip onto other foods The more information your health-care team members know Cook foods to a safe temperature to kill microorganisms. Use a about you, the better they can develop a plan of care tailored to meat thermometer, which measures the internal temperature of you. The members of your team need to know cooked meat and poultry, to make sure that the meat is cooked all the way through Your medical history Chill (refrigerate) perishable food promptly and defrost foods properly. Refrigerate or freeze perishables, prepared food, and Any allergies and sensitivities you have leftovers within two hours The medications you take routinely and occasionally, Plan ahead to defrost foods. Never defrost food on the kitchen prescription and over-the-counter counter at room temperature. Thaw food by placing it in the refrig- erator, submerging air-tight packaged food in cold tap water, or Any dietary supplements you use including vitamins and defrosting on a plate in the microwave herbals Avoid raw or partially cooked eggs or foods containing raw eggs and raw or undercooked meat and poultry. Other therapies you use Women who may become pregnant, pregnant women, nursing mothers, and young children should avoid some types of fish and Anything that may affect your ability to use the medication eat types lower in mercury See www.cfsan.fda.gov/~dms/admehg3.html or call 1-888-SAFEFOOD for more information Page 12 The Road to Good Nutrition Your Mississippi Page 29 for Everyone Medicaid Medical Home Why is it important to make lean or low-fat choices from What is a the Meat and Beans group? “Medical Home”? Foods in the meat, poultry, fish, eggs, nuts, and seed group A “Medical Home” is provide nutrients that are vital for health and maintenance of where a Medicaid your body. However, choosing foods from this group that are beneficiary gets their high in saturated fat and cholesterol may have poor health medical care on a implications. regular basis. This allows the health-care provider Diets that are high in saturated fats raise “bad” cholesterol and the beneficiary the levels in the blood. The “bad” cholesterol is called LDL (low- opportunity to get to density lipoprotein) cholesterol. High LDL cholesterol, in know each other better over time. This type of care reduces the turn, increases the risk for coronary heart disease. Some cost of nonemergency health care and saves valuable program food choices in this group are high in saturated fat. These dollars. include fatty cuts of beef, pork, and lamb; regular (75% to 85% lean) ground beef; regular sausages, hot dogs, and ba- What is the "Mississippi Medicaid Medical Home or con; some luncheon meats such as regular bologna and sa- (MMMH)”? lami; and some poultry such as duck. To help keep blood The Mississippi Medicaid Medical Home is our initiative to cholesterol levels healthy, limit the amount of these foods control the cost of our program and insure this Medicaid health you eat. care safety net will continue to be available for those who need Diets that are high in cholesterol can raise LDL cholesterol it now and in the future. The continuing increase in Medicaid levels in the blood. Cholesterol is only found in foods from eligibles and related program costs reflects an urgent need to animal sources. Some foods from this group are high in cho- redirect our program. lesterol. These include egg yolks (egg whites are choles- How will the MMMH control program costs? terol-free) and organ meats such as liver and giblets. To help By redirecting existing program dollars from a pay for service keep blood cholesterol levels healthy, limit the amount of strategy to a wellness strategy, we will control DOM’s program these foods you eat. costs. Our goal is to create a Healthier Mississippi. A high intake of fats makes it difficult to avoid consuming more calories than are needed. How will the MMMH create a Healthier Mississippi? 1) By making sure only those who are truly qualified for What are solid fats? Medicaid receive benefits. This will happen by face-to-face determinations and redeterminations conducted by Medicaid Solid fats are fats that are solid at room temperature, like staff. butter and shortening. Solid fats come from many animal foods and can be made from vegetable oils through a 2) By encouraging all our beneficiaries to participate in low-cost process called hydrogenation. medical screenings to establish their Medical Home. The use of Some common solid fats are a “Medical Home,” along with the physical examination, will help our beneficiaries concentrate on wellness and disease butter pork fat (lard) avoidance. The physical examination will not be used to beef fat (tallow, suet) stick margarine determine eligibility for the Medicaid program. chicken fat shortening Page 28 Understanding Information Page 13 Copayments You Can Use! Foods high in solid fats include: Copayments many cheeses A copayment is a small cost you have creams to pay for the service you get. ice creams well-marbled cuts of meats Children under the age of 18, regular ground beef Home and pregnant women, and persons in bacon Community nursing homes do not have to pay a sausages Based Service copayment. poultry skin (HCBS) many baked goods (such as cookies, crackers, donuts, You do not have to pay a copayment pastries, and croissants) HCBS programs if you are getting family-planning offer in-home services or emergency services in In some cases, the fat in these foods is invisible. services to help an emergency room. Regular cheese and whole milk are high in solid fat, even people live at though it is not visible. home instead of in Reporting Suspected Most solid fats are high in saturated fats and/or trans fats institutions. Medicaid Fraud and have lower monounsaturated or polyunsaturated fats. Animal products containing solid fats also contain choles- To qualify, you terol. must meet What to Do If... institutional level- In contrast to solid fats, oils are fats that are liquid at room Your health-care provider is providing of-care a service you think might not be temperature, like the vegetable oils used in cooking. Oils requirements, necessary to treat you come from many different plants and from fish. along with other You think your health-care provider Some common oils: criteria. Services may be billing for a service you did canola oil safflower oil are available to not receive corn oil soybean oil qualifying You know people who are letting others use their Medicaid cards olive oil sunflower oil elderly, disabled, peanut oil and/or mentally If you experience any of these situations, retarded/ please call the Bureau of Program Integrity Some oils are used mainly as flavorings, such as walnut oil developmentally Hotline at 1-800-880-5920. and sesame oil. A number of foods are naturally high in oils, disabled Medicaid such as: beneficiaries. nuts some fish olives avocados A few plant oils, including coconut oil and palm kernel oil, are high in saturated fats and for nutritional purposes should be considered solid fats. SOURCE: www.mypyramid.gov Page 14 The Road to Good Nutrition Page 27 Services for Children Only for Everyone Services How do I count the solid fats I eat? This chart gives a quick guide to the amount of solid fats in some common foods: (Source: www.MyPyramid.gov) Other Services for Children Amount Amount of Calories Total Lead Screening of food solid fat from solid calories Well Baby/Child Checkups fat Well Baby/Child Shots (Immunizations) Teaspoons Approx. Approx. WIC (Women, Infants, and Children /grams (tsp/g) calories calories nutrition and education programs) Solid Fats: Shortening 1 Tbsp 3 tsp/13g 115 115 Butter 1 Tbsp 2 ½ tsp/12g 100 100 Margarine (hard or stick) 1 Tbsp 2 ½ tsp/11g 100 100 Coconut or palm oil 1 Tbsp 3 tsp/14g 120 120 Mississippi Health Benefits for Children Foods rich in solid fats: Health benefits for children from birth to age 19 Heavy cream 1 Tbsp 1 tsp/5g 50 50 are provided through Medicaid. Some children Half and half cream 1 Tbsp 1/2 tsp/2g 15 20 may be eligible for Medicaid. Other children whose families make too much money to qualify Sour cream 1 Tbsp 1/2 tsp/2g 20 25 for Medicaid may be eligible for the Children’s Whole milk 1 cup 2 tsp/8g 70 145 Health Insurance Program (CHIP). Families may earn up to 200% of the federal poverty level and Cheddar cheese 1 1/2 oz 3 tsp/14g 125 170 be eligible for CHIP. To find out if your children Ice cream, chocolate 1 cup 3 tsp/14g 125 285 are eligible for either program, you must fill out Bacon, cooked 1 1/2 tsp/6g 1 1/2 tsp/6g 55 85 a Mississippi Health Benefits application. The same application is used for Medicaid and CHIP. Pork sausage 2 links(2 oz) 3 tsp/14g 120 165 Applications and help filling them out are Hamburger (80% lean) cooked(3 oz) 3 tsp/14g 120 205 available at Medicaid Regional Offices. For Prime rib, lean & fat cooked(3 oz) 6 tsp/29g 255 340 more information call Prime rib, lean only cooked(3 oz) 3 1/2 tsp/16g 140 250 1-877-KIDS-NOW (1-877-543-7669). Croissant 1 med.(2 oz) 3 tsp/12g 105 230 Biscuit 1 small 1 1/2 tsp/6g 50 125 Pound cake 1 oz slice 1 1/2 tsp/6g 50 110 Cheese Danish 2 1/2 oz 3 1/2 tsp/16g 135 265 Chocolate cream pie 1/6 of 8” pie 5 tsp/22g 195 345 Page 26 This information is only for those who Information Page 15 qualify for full Medicaid benefits You Can Use! EPSDT (Early Periodic Screening, Childhood Obesity The prevalence of overweight children among those aged 6 to Diagnosis, and Treatment) The EPSDT Program provides free medical 11 more than doubled in the past 20 years, going from 7% in checkups for all Medicaid-eligible children and 1980 to 16% in 2002. The rate among adolescents aged 12 to youth under the age of 21. It also covers 19 more than tripled, increasing from 5% to 16%.1 Overweight treatment for medical problems identified as a is the result of caloric imbalance (too few calories expended result of the medical checkup, including some for the amount of calories consumed) and is determined to services not normally covered by Medicaid. To some extent by genetics and health. An estimated 61% of learn more about this program, call the EPSDT overweight young people have at least one additional risk fac- Division of the Bureau of Maternal and Child tor for heart disease, such as high cholesterol or high blood Health at 1-800-421-2408. pressure.2 In addition, children who are overweight are at greater risk for bone and joint problems, sleep apnea, and social and psychological problems such as stigmatization and poor self-esteem.3 Overweight young people are more likely than children of normal weight to become overweight or obese adults and therefore more at risk for associated adult health problems, including heart disease, type 2 diabetes, stroke, several types of cancer, and osteoarthritis.3 Healthy lifestyle habits, including healthy eating and physical activity, EPSDT Services can lower the risk of becoming overweight and developing Additional Drug Prescriptions related diseases.1 Additional Eyeglasses Additional Home Health Services Additional Inpatient Hospital Days Additional Outpatient Hospital Days Dental Services Durable Medical Equipment Interperiodic Screens References Hearing Aids Outpatient Psychiatric and Mental 1. Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Health Care Legal KM. Prevalence of overweight and obesity among Personal Care Services U.S. children, adolescents, and adults, 1999-2002. JAMA Prosthetics and Orthotics 2004;291(23):2847-2850. Medical Supplies 2. Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. The Nursing Services relation of overweight to cardiovascular risk factors Screening Services among children and adolescents: the Bogalusa Heart All Standard Medical Benefits Can Study. Journal of Pediatrics 1999;103(6):1175-1182. Be Expanded (Check with your 3. U.S. Surgeon General. Overweight and Obesity: Health doctor.) Consequences. Web site accessed June 30, 2005. Page 16 The Road toto Good Nutrition The Road Page 25 Physical Activity This information is only for those who For Everyone qualify for full Medicaid benefits Services Energize Your Life! Office Visits and Family Planning Who said physical activity is all work and no play? In fact, it can be just the opposite! There is no need to think of strenuous workouts that are painful and boring. Instead, imagine doing fun physical activities you enjoy and look for- ward to. Do physical activity for enjoyment and watch the health benefits follow! Prescription Drugs The United States is on the brink of a longevity revolution. By 2030, the number of older Americans will have more than doubled to 70 million, or one in every five Americans. The growing number and proportion of older adults places in- creasing demands on the public health system and on medi- cal and social services. Non-Emergency Transportation Chronic diseases pose a particularly heavy health and eco- nomic burden on older adults due to associated long-term illness, diminished quality of life, and greatly increased health-care costs. Although the risk of disease and disability clearly increases with advancing age, poor health is not an inevitable consequence of aging. Covered Services also Include Ambulatory Surgical Center Much of the illness, disability, and death associated with Chiropractic Services chronic disease is avoidable through known prevention Dental Extractions and Related Treatment measures. Key measures include practicing a healthy life- Dialysis Services style (e.g., regular physical activity, healthy eating, and avoiding tobacco use) and the use of early detection prac- Durable Medical Equipment tices (e.g., screening for breast, cervical, and colorectal can- Emergency Ambulance Services cers, diabetes and its complications, and depression). Hospice Services Laboratory Services Critical knowledge gaps exist for responding to the health needs of older adults. For chronic diseases and conditions, Radiology such as Alzheimer's disease, arthritis, depression, psychiat- Medical Supplies ric disorders, osteoporosis, Parkinson's disease, and urinary Mental Health Services incontinence, much remains to be learned about their distri- bution in the population, associated risk factors, and effec- Physician Services, Physician’s Assistant tive measures to prevent or delay their onset. Services, Nurse Practitioner Services Physical, Occupational, Speech Therapy Source: Division of Adult and Community Health, National Center Transplants for Chronic Disease Prevention and Health Promotion Page 24 This information is only for those who I n f Road i The o r m a ttoo n Page 17 qualify for full Medicaid benefits You C Endinga n U s e ! Use Tobacco Programs The Burden of Tobacco Use Eyeglasses An estimated 45.8 million adults in the United States smoke cigarettes, even though this single behavior will result in death or disability for half of all regular smokers. Tobacco use is the leading preventable cause of death in the United States, resulting in approximately 440,000 deaths each year. More than 8.6 million people in the United States have at least one serious illness caused by smoking. If current pat- Home Health Services terns of smoking persist, 6.4 million people currently younger than 18 will die prematurely of a tobacco-related disease. Paralleling this enormous health toll is the economic burden of tobacco use: more than $75 billion per year in medical expenditures and another $80 billion per year re- sulting from lost productivity. Since 1964, 28 Surgeon Generals’ reports on smoking and Hospital Care health have concluded that tobacco use is the single most Inpatient avoidable cause of disease, disability, and death in the United States. Over the past four decades, cigarette smoking has caused an estimated 12 million deaths, including 4.1 mil- lion deaths from cancer, 5.5 million deaths from cardiovascu- lar diseases, 2.1 million deaths from respiratory diseases, and 94,000 infant deaths related to mothers’ smoking during Hospital Care pregnancy. Outpatient Smokeless tobacco, cigars, and pipes also have deadly con- sequences, including lung, larynx, esophageal, and oral can- cers. Low-tar cigarettes and other tobacco products are not safe alternatives. Inpatient Psychiatric Care Long-term Care Services If you are a Medicaid beneficiary, ask your health-care provider about how we can help you quit tobacco! We cover nicotine re- placement gum and patches, too! Contact your provider today! Page 18 The Road to Ending Information Page 23 Tobacco Use You Can Use! The harmful effects of smoking do not end with the smoker. Medicaid Identification Babies of women who smoke during pregnancy are more Card likely to have lower birth weights, an increased risk of death Once Medicaid eligibility has from sudden infant death syndrome, and respiratory dis- been approved, each tress. In addition, secondhand smoke has harmful effects on Medicaid-eligible member in nonsmokers. Each year, primarily because of exposure to a family will get a plastic secondhand smoke, an estimated 3,000 nonsmoking Ameri- Identification (ID) Card. The cans die of lung cancer, and more than 35,000 die of heart beneficiary name and ID disease. number are printed on this An estimated 150,000 - 300,000 children younger than 18 card. months of age have lower respiratory tract infections be- Fair Hearings cause of exposure to secondhand smoke. An eligibility hearing is a legal Things You Must Do To Although smoking rates fell among high school students process that you may ask for if Get Health-Care Services from 2000 to 2002, they did not decline significantly among you do not agree with a decision Always remember to take middle school students. This lack of progress suggests the that has been made about your your Medicaid ID card every need for greater use of proven antismoking strategies and Medicaid eligibility. time you go to get health for new strategies to promote further declines in youth After you have been mailed a services. Remember, not all smoking. notice telling you of any action(s) doctors, dentists, and other taken on your Medicaid case, you providers accept Medicaid. 442,398 U.S. Deaths Attributable Each Year will have 30 days in which to ask You should always ask the to Cigarette Smoking* for a hearing. You may do this by provider if he/she accepts either writing your Medicaid Re- gional Office, the Medicaid State Medicaid before you get Office, or by completing the services. “Hearing Request” form, avail- able in your Medicaid Regional You need to make sure Office. your provider takes If you are already getting Medi- Medicaid. caid or CHIP and you ask for a You need to ask your hearing within 10 days after get- provider if the service/ ting the notice, your Medicaid test/procedure is covered will not stop until your case has by Medicaid before the been decided. CHIP benefits will be continued for the next possi- service is performed. ble month. However, if the If a service that is not agency’s action is upheld by the covered by Medicaid hearing decision, the Division of policy is performed, then Medicaid has the right to initiate the provider can bill you action for recovering benefits and expect you to pay for you receive during the hearing the service. *Average annual number of deaths, 1995–1999. process. Source: MMWR 2002;51(14):300–3. NOTE: Please show your Medicaid ID card whenever you get medical services. Page 22 Things You Need to Know The Road to Ending Page 19 Tobacco Use Adolescent Tobacco Use Freedom of Choice Tobacco use, including cigarette smoking, cigar smoking, Most Medicaid beneficiaries may and smokeless tobacco use, is the single leading prevent- choose the doctor or clinic they wish to able cause of death in the United States. Each year, smoking use. The doctor or clinic must be willing causes approximately 435,000 premature deaths and over 5 to accept Medicaid payments. million years of potential life lost.1 Every day, approximately 4,000 American youth aged 12-17 try their first cigarette.2 If current patterns of smoking behavior continue, an estimated 6.4 million of today's children can be expected to die prema- turely from a smoking-related disease.3 In 2003, 22% of high schools students reported current cigarette use and 15% Other Health Insurance reported current cigar use. In addition, 7% of high school You must report to Medicaid any health students and 13% of white male high school students re- insurance you may have. If you have ported current smokeless tobacco use.4 health insurance and Medicaid, you must give your insurance information to your doctor when you get services. In order to be eligible for Medicaid, you must assign your rights to medical payments from any source to the References Division of Medicaid. 1. Fellows JL, Trosclair A, Adams EK, Rivera CC. Annual Civil Rights smoking attributable mortality, years of potential life lost Participating providers of services in and economic costs: United States 1995-1999. Morbidity the Medicaid program must comply and Mortality Weekly Report 2002;51:300-303. with the requirements of Title VI of the 2. Substance Abuse and Mental Health Services Admini- Civil Rights Act of 1964, Section 504 of stration. Summary of findings from the 2001 National the Rehabilitation Act of 1973, and Household Survey on Drug Abuse: Volume II. Technical Section 504 of the Rehabilitation Act of appendices and selected data tables. Rockville, MD: U.S. 1973. Under the terms of those laws, a Department of Health and Human Services, 2002;NHSDA participating provider or vendor of Series H-18;DHHS publication no. (SMA) 02-3759. services under any program using 3. CDC. Office on Smoking and Health, 2002 calculations federal funds is prohibited from making based upon: Smoking attributable mortality and years of NOTE: The Office of a distinction in the provision of services potential life loss—United States, 1984. Morbidity and the Governor, to beneficiaries on the grounds of race, Division of Medicaid Mortality Weekly Report 1997;46:444-451. age, gender, color, national origin, or (DOM), is responsi- disability. This includes distinctions 4. Grunbaum JA, Kann L, Kinchen S, Ross J, Hawkins J, ble for investigating made on the basis of race or disability Lowry R, et al. Youth Risk Behavior Surveillance—United complaints of non- with respect to (a) waiting rooms, (b) States, 2003. Morbidity and Mortality Weekly Report compliance. hours for appointments, or (c) order of 2004;53(SS-2):1-95. seeing patients. Page 20 My Medicaid Information Page 21 You Can Use! What Is Medicaid? Medicaid Medicaid is a health-care program that pays for Regional medical services for qualified people. Medical Offices payments are made from both state and federal government monies. Brandon 601-825-0477 Kosciusko 662-289-4477 Who Can Get Medicaid? Brookhaven 601-835-2020 Laurel 601-425-3175 If you live in Mississippi, you may qualify for Medi- Canton 601-978-2399 McComb 601-249-2071 caid. If you need medical assistance, you must fill Clarksdale 662-627-1493 Meridian 601- 483-9944 out an application to find out if you qualify for this Cleveland 662-843-7753 Natchez 601-445-4971 program. Anyone who meets the Medicaid stan- Columbia 601-731-2271 New Albany 662-534-0441 dards, such as certain low-income-level persons; Columbus 662-329-2190 Newton 601-635-5205 pregnant women; children; aged; blind; or dis- Corinth 662-286-8091 Pascagoula 228-762-9591 abled persons, can receive Medicaid. Greenville 662-332-9370 Philadelphia 601-656-3131 Where do I apply for Medicaid? Greenwood 662-455-1053 Picayune 601-798-0831 Grenada 662-226-4406 You may apply for Medicaid for low-income fami- Senatobia 662-562-0147 lies and children under 19 and pregnant women at Gulfport 228-863-3328 Starkville 662-323-3688 your Medicaid Regional Office. You may call 1 Hattiesburg 601-264-5386 Tupelo 662-844-5304 -800-421-2408 to locate your nearest Medicaid Holly Springs 662-252-3439 Vicksburg 601-638-6137 Regional Office. Jackson 601-978-2399 Yazoo City 662-746-2309 If you are disabled, working disabled, or 65 or older and not receiving Social Security income, you may apply for benefits at the Medicaid Re- You may call any of the offices listed above to find gional Offices listed on the next page. out how to apply. You may also receive an application by mail. Call your local Medicaid Regional Office to find out more.